Document Detail


The danger of intracranial wood.
MedLine Citation:
PMID:  835079     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peri-orbital puncture wounds by sharp wooden objects are not rare, but can be dangerous when there is intracranial penetration by and retention of the wooden foreign body. Days to years after an apparently trivial initial wounding, serious intracranial complications can occur. The authors have reviewed 42 case reports from the literature. Morbidity-defined as permanent neurologic sequelae-occurred in 74% of the cases. Intracranial suppuration was the major complication, with brain abscess having occurred in nearly one-half of the cases. Mortality occurred in 25% of 28 cases occurring in the post-antibiotic era. The qualities of wood which make it especially hazardous as a wounding agent and foreign body are discussed. The role of orbital anatomy in affording easy access to the cranial contents is described. Surgical exploration in all those cases in which there is a reasonable suspicion of intracranial injury is recommended.
Authors:
C F Miller; J S Brodkey; B J Colombi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  7     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1977 Feb 
Date Detail:
Created Date:  1977-03-31     Completed Date:  1977-03-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  95-103     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Abscess / etiology
Brain Injuries / etiology*,  mortality,  surgery
Child
Child, Preschool
Eye Injuries / complications
Female
Foreign Bodies / complications*,  mortality,  surgery
Humans
Male
Orbit
Suicide, Attempted
Wood*
Wounds, Stab / complications*,  mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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